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Transitional Care Hospital Patient Handbook - University of Virginia ...

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<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />

<strong>Patient</strong> <strong>Handbook</strong>


Table <strong>of</strong> Contents<br />

Your Healthcare Team 3<br />

Your <strong>Hospital</strong> Stay 4<br />

Our <strong>Hospital</strong> and Services 5<br />

Your Safety and Comfort 7<br />

About Your Bill 8<br />

Discharge Planning 9<br />

<strong>Patient</strong> Rights and Responsibilities 10<br />

Concerns, Complaints, Compliments 11<br />

Welcome to UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>.<br />

TV Channel Guide 12<br />

Pain Management Scale 12<br />

This handbook <strong>of</strong>fers guidelines and resources to help<br />

make your stay easier, safer and more comfortable.<br />

At UVA Health System, and within each <strong>of</strong> our hospitals<br />

Helpful Phone Numbers<br />

<strong>Hospital</strong> Map<br />

Back Cover<br />

Back Inside Flap<br />

and clinics, you will find caregivers and staff who are<br />

dedicated to providing the best environment possible<br />

for your treatment and overall well-being. Our goal is<br />

to exceed your expectations <strong>of</strong> a healthcare provider,<br />

Proveemos servicios de interpretación gratuita a<br />

nuestros pacientes de habla Hispana. Cuando haga<br />

su próxima cita, llámenos al teléfono 434.982.1794<br />

para solicitar los servicios de un intérprete. Pacientes<br />

de habla hispana pueden solicitar este Manual<br />

del Paciente en el idioma Español en “<strong>Patient</strong> and<br />

Guest Services.”<br />

consistently <strong>of</strong>fering top-quality healthcare, as well as<br />

respect and consideration to all who entrust us with their<br />

care. We encourage you to actively participate in your care<br />

by asking questions and by <strong>of</strong>fering your comments and<br />

feedback, because your satisfaction is important to us.<br />

R. Edward Howell, Vice President and CEO <strong>of</strong> <strong>University</strong> <strong>of</strong><br />

<strong>Virginia</strong> Medical Center and UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />

2


UVA Health System<br />

Mission, Vision and Values<br />

Mission<br />

To provide excellence, innovation and<br />

superlative quality in the care <strong>of</strong> patients,<br />

the training <strong>of</strong> health pr<strong>of</strong>essionals, and the<br />

creation and sharing <strong>of</strong> health knowledge.<br />

Vision<br />

In all that we do, we work to benefit<br />

human health and improve the quality<br />

<strong>of</strong> life. We will be:<br />

n<br />

Our local community’s provider <strong>of</strong><br />

choice for its healthcare needs<br />

n<br />

A national leader in quality, patient safety,<br />

UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> Opens its Doors<br />

to <strong>Patient</strong>s with Complex Medical Issues<br />

Welcome to <strong>University</strong> <strong>of</strong> <strong>Virginia</strong> <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>.<br />

Being a part <strong>of</strong> UVA Health System allows our patients to receive full<br />

access to a wide range <strong>of</strong> clinical specialties, the latest technology,<br />

expertise and services. During your stay, nothing is more important to<br />

us than your safety, comfort and well-being.<br />

We specialize in treating individuals with serious and complex medical<br />

conditions that require a longer length <strong>of</strong> stay than is standard at<br />

a typical acute care hospital. Our patients’ average length <strong>of</strong> stay is<br />

between 25-28 days. Most individuals in our facility include those<br />

who need weaning from ventilators, have complex wounds, or have<br />

multiple complex medical issues that require more daily nursing,<br />

therapy, nutritional and physician care.<br />

service and compassionate care<br />

n<br />

The leading provider <strong>of</strong> technologicallyadvanced,<br />

ground-breaking care<br />

throughout <strong>Virginia</strong><br />

n<br />

Recognized for translating research<br />

discoveries into improvements in clinical<br />

care and patient outcomes<br />

n<br />

Fostering innovative care delivery and<br />

teaching/training models that respond<br />

to the evolving health environment<br />

Values<br />

This institution exists to serve others,<br />

and does so through the expression <strong>of</strong><br />

our core values:<br />

Respect...<br />

to recognize the dignity <strong>of</strong> every person<br />

Integrity...<br />

to be honest, fair and trustworthy<br />

Stewardship...<br />

to manage resources responsibly<br />

Excellence...<br />

to work at the highest level <strong>of</strong><br />

performance, with a commitment<br />

to continuous improvement<br />

2


Your Healthcare Team<br />

In our facility, you and your loved ones are integral<br />

members <strong>of</strong> our interdisciplinary team. You will see<br />

and talk with members <strong>of</strong> your team on a daily basis.<br />

This may include:<br />

Attending Physicians Medical Doctors (MD) or Doctors<br />

<strong>of</strong> Osteopathic Medicine (DO) who have the primary<br />

responsibility for your care. They may also ask other<br />

physicians who have a specialty in various fields<br />

to evaluate and treat you during your stay with us.<br />

Specialists commonly seen in our facility include kidney<br />

doctors and plastic surgeons.<br />

Case Managers Nurses or social workers who help<br />

communicate and coordinate your care with your treatment<br />

team, Medicare, Medicaid or your private insurance.<br />

They assist you and your loved ones in planning for and<br />

coordinating any needs you may have for your discharge<br />

from our facility. Speak with your case manager if lodging<br />

or services in our area are needed.<br />

Catering Associates Staff who provides a balanced<br />

selection <strong>of</strong> well–prepared food that specifically meets<br />

your dietary needs.<br />

Chaplains (non-denominational) Provide spiritual<br />

care, support and comfort for you and your loved ones.<br />

The chaplain can arrange for a religious ritual or a visit from<br />

your spiritual leader. If you or your loved ones would like<br />

to see a chaplain, dial “0” or ask a team member to contact<br />

the on-call chaplain for you.<br />

Clinical Liaison A liaison who meets with you and<br />

reviews your clinical needs before you come to our facility.<br />

They are also available to meet with your loved ones, your<br />

treating physician and other clinicians to ensure a smooth<br />

transition when you come to our facility.<br />

Director <strong>of</strong> Quality Helps to interpret the rules <strong>of</strong><br />

healthcare regulation agencies and works with and through<br />

the staff to help make sure you receive safe and satisfying<br />

care. With input from the entire care team, including our<br />

patients and families, the Director <strong>of</strong> Quality also seeks<br />

ways to improve services and outcomes.<br />

Ethics Consult Service Available at times when our<br />

patients, their loved ones and our staff face difficult ethical<br />

issues about treatment choices. This service is available<br />

24-hours-a-day by dialing “0” and asking the operator to<br />

page number 1712.<br />

Health Unit Coordinator (HUC) Assistant located<br />

at the Team Station who coordinates communication<br />

and documentation.<br />

Housekeepers Keep our facility clean, neat and<br />

orderly.<br />

Nurse Practitioners (NP)/Physician Assistants (PA)<br />

Clinicians who have completed special training and<br />

work with physicians to provide and/or direct your care<br />

and treatment.<br />

Occupational Therapists (OT) Help you with<br />

basic daily tasks like bathing, dressing and toileting. They<br />

also help you do activities that you may enjoy but find to<br />

be challenging now due to your physical limitations.<br />

<strong>Patient</strong> <strong>Care</strong> Assistant (PCA) or <strong>Patient</strong> <strong>Care</strong><br />

Technicians (PCT) Staff who, with guidance from your<br />

RN, take vital signs and assist you with your daily needs.<br />

Pharmacists Prepare and dispense your medications<br />

and consult with your team to be sure your treatment gives<br />

you the most benefit. They can answer your questions<br />

about medicines and possible reactions.<br />

Physical Therapists (PT) Therapists who teach<br />

you how to move safely and plan for the equipment you<br />

may need to ensure safe mobility in the hospital and<br />

when you leave.<br />

2


Psychologists Mental health practitioners provide you<br />

and your loved ones with counseling and support to help<br />

you deal with your illness.<br />

Registered Dieticians (RD) Evaluate your nutritional<br />

needs and suggest the best types <strong>of</strong> alternative<br />

feedings, if necessary.<br />

Registered Nurses (RN)/Licensed Practical Nurse<br />

(LPN) Those who coordinate, implement and/or<br />

oversee all <strong>of</strong> your care.<br />

Respiratory Therapists (RT) Evaluate, treat and care<br />

for patients with breathing or other cardiopulmonary<br />

disorders. They help you breathe easier with or without<br />

equipment and medicines.<br />

Speech and Language Pathologists (SLP)<br />

Help you overcome difficulties in swallowing, speaking<br />

and understanding language, as needed.<br />

Your <strong>Hospital</strong> Stay<br />

<strong>Care</strong> Partners<br />

A <strong>Care</strong> Partner is a person(s) you appoint to stay with<br />

you and be involved in your care during your stay in our<br />

facility. When you are admitted to our facility, we will ask<br />

you to appoint one or two adults to be your <strong>Care</strong> Partners.<br />

You may change your <strong>Care</strong> Partners at any time during<br />

your stay. They will become integral members <strong>of</strong> your<br />

healthcare team and will be able to keep other family/<br />

friends/loved ones informed about your care.<br />

Mail, Packages, Balloons and Flowers<br />

These items may be sent directly to:<br />

UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />

2965 Ivy Road<br />

Charlottesville, VA 22903<br />

Please note: only mylar balloons, not latex, are permitted<br />

in our facility to ensure the safety <strong>of</strong> all our patients. If mail<br />

or packages arrive for you after your discharge, we will<br />

have them forwarded to the address we were given at<br />

the time <strong>of</strong> your admission. Please call our main hospital<br />

number at 434.243.4394, if you have any questions.<br />

Friends and family may also send free e-cards now<br />

available via our website: uvahealth.com/ecards<br />

<strong>Patient</strong> Food Services<br />

Catering-To-You allows our Nutrition Services team to<br />

bring you the diet ordered by your physician. The Catering<br />

Associate will help you make your meal and snack choices<br />

daily. If you are given a restricted diet, the associate will talk<br />

to you about this. If you arrive late in the evening, talk with a<br />

member <strong>of</strong> your treatment team about your food options.<br />

<strong>Patient</strong> Rooms<br />

All <strong>of</strong> our patient rooms are private. Each room is designed<br />

to promote healing and comes equipped with the latest<br />

innovations in technology to enhance your comfort.<br />

Our beds are all electronically operated and equipped<br />

with controls for lights, telephone, TV and a call system to<br />

contact a member <strong>of</strong> your treatment team. We will review<br />

how to use these items when you are introduced to your<br />

room. In addition, some <strong>of</strong> our rooms are specifically<br />

adapted to meet the special needs <strong>of</strong> our bariatric and<br />

dialysis patients.<br />

Quiet Time<br />

To help promote healing and reduce stress, we encourage<br />

a quiet atmosphere throughout our facility. We <strong>of</strong>fer<br />

earplugs or earphones for the bed’s pillow speaker if<br />

noise is a problem. If you have any questions or concerns,<br />

please speak to a member <strong>of</strong> your treatment team.<br />

4


Telephones<br />

We ask that you have friends, family or loved ones call<br />

either you or your <strong>Care</strong> Partner directly to receive information<br />

about your condition. You may use the telephone on the bed<br />

to make a call 24-hours-a-day. These phones do not accept<br />

calls between 10 p.m. and 8 a.m. to allow for your rest.<br />

To dial an outside number, dial “9” then your number.<br />

To make a long distance collect call, dial “1-0” and then<br />

the area code and number. If you need further assistance,<br />

call our hospital operator by dialing “0.”<br />

Cell Phones<br />

To ensure the safety <strong>of</strong> our patients, cell phone use is<br />

permissable only in certain areas. Unless you are utilizing<br />

an Ntelos brand phone, please refrain from using your<br />

cell phone or ask a staff member to direct you to an<br />

approved area.<br />

O<br />

Television/Music<br />

At each bed, you have access to cable channels from<br />

Comcast. Ask us for help with closed captions or headphones<br />

to use with the bed control. The full television<br />

channel guide can be found on page 12 <strong>of</strong> this booklet.<br />

Your Belongings<br />

During your admission process, we will make a list <strong>of</strong><br />

the belongings you brought with you to our facility.<br />

We ask that you send any valuables home. A small safe<br />

is available for your valuables if they cannot be taken<br />

home. If you have eyeglasses, dentures or hearing aids,<br />

they should be kept visible and accessible to you.<br />

<strong>Patient</strong> belonging bags will be provided to you for storing<br />

these items. If you bring in electronic devices such as<br />

laptops, they are the responsibility <strong>of</strong> you and your <strong>Care</strong><br />

Partner. Any devices you use in your bed must be used<br />

on battery power only.<br />

Our <strong>Hospital</strong> and Services<br />

Lobby<br />

Our lobby is the central hub for our services. Visitors<br />

are met by our receptionist at the front desk where<br />

they can receive their visitor pass between the hours<br />

<strong>of</strong> 9 a.m. and 9 p.m. If the receptionist is <strong>of</strong>f duty,<br />

please obtain a visitor pass from the team station on<br />

the unit. From our lobby area, you can be directed to<br />

our public restrooms, dining area, patient rooms and<br />

to UVA Imaging Center also located on the first floor<br />

<strong>of</strong> our building.<br />

2<br />

5


Our <strong>Hospital</strong> and Services (continued)<br />

Food Services<br />

The Outtakes Café is located on the first floor <strong>of</strong> our<br />

<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>, where we <strong>of</strong>fer a variety <strong>of</strong><br />

prepared food options and vending services in a<br />

comfortable dining atmosphere. The café is open Mon.- Fri.<br />

from 8 a.m. to 4 p.m. Vending is available 24/7. You may<br />

also enjoy your meal or snack on our outdoor patio.<br />

Foreign/Sign Language Services<br />

Free interpreter services are available through the use<br />

<strong>of</strong> our Cyracom telephones and TDD. These services are<br />

available for our patients and their loved ones who have<br />

a limited ability to speak or read English, or who are deaf<br />

or hearing impaired. Ask a team member for information<br />

on how to access these services.<br />

Chapel<br />

An interfaith chapel is on the second floor <strong>of</strong> TCH.<br />

This chapel is open 24-hours-a-day for quiet prayers<br />

and reflection. A chaplain is on site or on call 24/7.<br />

Blood Donations<br />

Blood donation services are available on the main<br />

campus <strong>of</strong> the UVA Medical Center. The blood donor<br />

room is located in the lobby <strong>of</strong> the West Complex. If you<br />

or your loved ones would like to donate blood, go to<br />

vablood.org or call 434.243.2999 for more information.<br />

Organ/Tissue Donation<br />

We encourage you to talk about organ/tissue donation<br />

with your doctor, family and friends. Under <strong>Virginia</strong><br />

law, your wish to be an organ/tissue donor must be<br />

honored. Detailed information is at: Save7lives.org or by<br />

calling LifeNet, <strong>Virginia</strong>’s organ procurement agency, at<br />

434.296.7910 (toll-free 800.847.7831).<br />

Gift Shop<br />

The gift shop is located <strong>of</strong>f the lobby on the first floor<br />

<strong>of</strong> <strong>University</strong> <strong>Hospital</strong>, on the main campus <strong>of</strong> the<br />

UVA Medical Center. The shop is open Mon.- Fri. from<br />

8 a.m. to 8 p.m. and on Saturday and Sunday from<br />

9 a.m. to 5 p.m.<br />

Shuttle<br />

We provide a shuttle to and from UVA Medical Center<br />

approximately every 45 minutes, Mon. - Fri. from<br />

8:38 a.m. - 4:53 p.m. A taxi service is also available when<br />

the shuttle is not running.<br />

Health Sciences Library<br />

Claude Moore Health Sciences Library is located<br />

on the main campus <strong>of</strong> UVA Medical Center between<br />

<strong>University</strong> <strong>Hospital</strong> and West Complex. You can access<br />

health information and check out books. Contact the<br />

library by dialing 434.924.5444.<br />

6


Your Safety and Comfort<br />

Communication<br />

At UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>, we take every<br />

opportunity possible to involve you and your <strong>Care</strong><br />

Partner in your care. We believe good communication<br />

is key to keeping you safe. Our nursing staff will give<br />

their shift report at your bedside so you are able to<br />

hear an update and ask questions about your care.<br />

Our physicians and interdisciplinary team also make<br />

daily rounds to review your care and establish your plan<br />

<strong>of</strong> care for the next 24 hours. Once a week we will review<br />

your plan <strong>of</strong> care, establish weekly goals and discuss<br />

your discharge goals. This plan will be reviewed with you<br />

and you are encouraged to ask questions at any point<br />

during your stay.<br />

Some questions to consider include:<br />

n<br />

What is wrong? (My diagnosis)<br />

n<br />

What might happen next? (My prognosis)<br />

n<br />

What medical tests, treatment plans and medicines<br />

do I need?<br />

n<br />

How do I get help or more information about taking<br />

care <strong>of</strong> myself after leaving the hospital?<br />

n<br />

What can I expect in the future?<br />

n<br />

Will I need follow-up care?<br />

Advance Directives<br />

Advance Directives are legal documents you can use<br />

to make your healthcare decisions known. This booklet<br />

contains an Advance Directive form and instructions in<br />

the back pocket. You can also ask your Case Manager<br />

to provide you with one.<br />

<strong>Patient</strong> Identification<br />

When you are admitted to <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>,<br />

you will receive a band to wear on your wrist. This band<br />

will have your name, date <strong>of</strong> birth and medical record<br />

number. To keep you safe, our staff will confirm your<br />

name and date <strong>of</strong> birth before giving you any medications<br />

or performing any procedures.<br />

Staff Identification<br />

Members <strong>of</strong> your treatment team will identify themselves<br />

and their role in our facility when they enter your room.<br />

They will also explain why they have come to see you.<br />

Our staff also wear a name badge to identify who they<br />

are and what they do. These name tags are worn above<br />

the waist so you may be able to read them clearly. If you<br />

are unable to read a nametag, please feel free to ask.<br />

Preventing Falls<br />

Feeling weak, taking certain medicines and being in<br />

an unfamiliar place can make you more likely to fall.<br />

Ask us about our “Fall Prevention Program” and:<br />

n<br />

Follow our instructions about getting in and out <strong>of</strong><br />

bed or walking around.<br />

n<br />

Ask for help if you feel weak or dizzy.<br />

n<br />

Wear low-heeled, non-skid shoes or slippers.<br />

n<br />

Keep personal items in easy reach. If you cannot reach<br />

something you need, press the call button for help.<br />

n<br />

Let us know if you see anything that might be a safety<br />

hazard – like liquid spills or suspicious smoke.<br />

Preventing Infections<br />

Infection prevention is very important. We use gloves,<br />

gowns, masks and eye protection based on your<br />

condition. <strong>Patient</strong>s, visitors and staff must follow<br />

any instructions posted at your door.<br />

n<br />

Your visitors should come to the hospital only<br />

if they feel well.<br />

n<br />

Anyone coming in contact with you should wash or<br />

cleanse their hands upon entering and exiting your<br />

room. Hand cleaner/alcohol gel can be found outside<br />

the patient rooms and is routinely used by staff to<br />

cleanse their hands.<br />

n<br />

If you cannot get out <strong>of</strong> bed to wash your hands,<br />

ask your nurse for hand cleaner.<br />

n<br />

Bathrooms in patient rooms are for patients only.<br />

Everyone else should use public restrooms.<br />

2<br />

7


Pain Management<br />

Your comfort is important to us. Members <strong>of</strong> your<br />

treatment team will ask you about your pain and discuss<br />

a goal to optimize your physical and emotional comfort.<br />

We use a tool called the “UVA Pain Management Scale”<br />

(see page 12) when we ask you about pain.<br />

At any time, please tell your team member:<br />

n<br />

When you started feeling pain and how long it lasted<br />

n<br />

Where you feel the pain<br />

n<br />

How strong the pain is and how it feels (sharp, dull or ache)<br />

n<br />

What you are unable to do because <strong>of</strong> the pain<br />

n<br />

If you are having surgery or a procedure, staff will work<br />

together to ensure your safety. Members <strong>of</strong> the nursing<br />

staff will regularly ask you if your needs are being met..<br />

Tobacco and Smoke-Free Zone<br />

UVA hospital grounds and buildings are tobacco and<br />

smoke-free.<br />

Speak Up for Safety<br />

We support the “Speak Up for Safety.” Please refer to<br />

the booklet.<br />

n<br />

What makes your pain better and what makes it worse<br />

Additional Safety Tips<br />

There are many things you can do to be an informed,<br />

active participant in your healthcare and to increase<br />

your healthcare safety.<br />

n<br />

Learn as much as possible about your illness and<br />

treatment options. Write down your questions and<br />

practice asking them (see page 7 <strong>of</strong> the handbook).<br />

n<br />

Pay attention to and report your symptoms – pain,<br />

nausea, drowsiness, etc. – or if something just<br />

doesn’t “feel right.”<br />

n<br />

Let your healthcare team know about all your<br />

medicines, including over-the-counter or herbals,<br />

allergies and any reactions to medicines or treatments.<br />

Ask your nurse for a wallet card to list your medicines.<br />

n<br />

Be sure healthcare providers correctly identify you<br />

by looking at your ID bracelet and asking your name<br />

and date <strong>of</strong> birth.<br />

n<br />

Ask healthcare providers to say who they are and<br />

explain what they are doing.<br />

n<br />

Ask a family member or friend to be with you when<br />

talking with your doctor or others to help recall what<br />

was said, to take notes, or to ask questions. They can<br />

also help us know your specific needs.<br />

n<br />

Pay attention to your care and make sure you are<br />

getting the right treatments and medicines.<br />

n<br />

You are the center <strong>of</strong> your healthcare team.<br />

Ask about anything you do not understand.<br />

About Your Bill<br />

For most services at UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>,<br />

you will receive two bills:<br />

n<br />

One bill will be from the hospital and include charges<br />

such as room and board, medicine, supplies, and<br />

radiology and laboratory tests.<br />

n<br />

Another bill will come from UVA Physicians Group<br />

(UPG) for services provided by doctors.<br />

n<br />

Paying these bills is your responsibility. However,<br />

as a courtesy, the hospital and UPG will file claims to<br />

your insurance company for you at your request.<br />

Unable to Pay Your Bill?<br />

If you are unable to pay for your care, you may be<br />

able to receive help.<br />

n<br />

Your social worker can tell you about our financial<br />

assistance program.<br />

n<br />

You can also visit uvahealth.com and click on<br />

“patient and visitor info.”<br />

n<br />

Please call our Financial Screening <strong>of</strong>fice at<br />

434.924.5377 or 800.523.4398 to ask for or<br />

find out more about financial assistance.<br />

n<br />

A completed application will be required, and you<br />

will be asked to write down all assets and income.<br />

Questions or Concerns?<br />

Our staff can address your questions or concerns<br />

about your bills.<br />

n<br />

For hospital charges, call 434.924.5377.<br />

8


Discharge Planning<br />

From the time you are admitted to UVA <strong>Transitional</strong><br />

<strong>Care</strong> <strong>Hospital</strong>, we will work with you to plan for<br />

your discharge day. This is the day you will either<br />

be discharged home from our facility or successfully<br />

transition to another level <strong>of</strong> care. Your team will<br />

work closely with you and your loved ones to ensure<br />

your discharge needs are identified and met.<br />

We will work with your local vendors, service<br />

providers and community resources to meet your<br />

needs after discharge.<br />

Frequently Asked Questions about<br />

Discharge Day:<br />

Who decides when I am ready to leave the hospital?<br />

Your doctor and the healthcare team will work with<br />

you to decide the best time for your discharge.<br />

Our goal for your discharge is before noon so you can<br />

get home and get settled before evening.<br />

What do I need to do?<br />

When a discharge date is set, make sure someone<br />

can bring you home and have home care ready.<br />

Before your discharge day, have someone take your<br />

items and gifts home and bring loose-fitting clothes<br />

for you to wear home.<br />

What if I am going to another facility, not home?<br />

The hospital staff will make arrangements for you to<br />

get to the other facility.<br />

Will I get instructions before I leave?<br />

Yes, we will review written discharge instructions with<br />

you about your care, level <strong>of</strong> activity, follow-up visits,<br />

medicine, supplies, and services. This is the time to<br />

get all <strong>of</strong> your questions answered.<br />

Will I get medicines or prescriptions before I leave?<br />

Your doctor may order medicines for you to take after<br />

you are discharged from the hospital. We encourage<br />

you to have these prescriptions filled at your local<br />

pharmacy so they know all <strong>of</strong> the medicines you are<br />

taking. Keep a current list <strong>of</strong> your medicines and<br />

allergies and vaccinations. For all medicines write<br />

down the name, how many (amount), how much<br />

(dose), when and why it is taken, and anything<br />

special. UVA is making it easier for you to keep track<br />

<strong>of</strong> this information through a new online tool known<br />

as MyChart. Learn more at mychartuva.com.<br />

Who can I call if I have questions about possible<br />

home health services?<br />

During regular business hours, your case manager<br />

can help you understand your Home Health choices<br />

and services.<br />

2


<strong>Patient</strong> Rights and Responsibilities<br />

UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> provides an environment<br />

that promotes quality healthcare for its patients while<br />

respecting the rights <strong>of</strong> those patients. Employees are<br />

expected to assist patients, their legal representatives<br />

(surrogate decision makers), and their families in<br />

understanding and exercising each patient’s rights.<br />

Likewise, patients, their legal representatives and their<br />

families are expected to understand their responsibilities<br />

to the individuals providing care and services to them.<br />

<strong>Patient</strong> Bill <strong>of</strong> Rights<br />

<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> is dedicated to providing each<br />

patient the best healthcare and service possible. Our staff<br />

understand that patients expect to receive considerate<br />

and respectful care. We honor patients’ rights to be<br />

informed about, and involved in, making decisions about<br />

care and treatment. Each patient, or the patient’s legal<br />

representative(s), has the following rights:<br />

n<br />

To receive considerate and respectful care in an<br />

environment that preserves personal dignity;<br />

n<br />

To have his/her cultural, psychosocial, spiritual and<br />

personal values, beliefs and preferences respected and<br />

to have access to pastoral and other spiritual services;<br />

n<br />

To know about the patient’s illness or condition<br />

and proposed treatment and to participate in the<br />

development <strong>of</strong> a plan <strong>of</strong> care. Doctors and other<br />

members <strong>of</strong> the care team will provide information<br />

in language the patient or legal representative can<br />

understand, and will use interpreter or other languageassistance<br />

services as necessary;<br />

n<br />

To make decisions about the patient’s care, including<br />

the right to know why operations or treatments are<br />

needed and who will perform the operations or<br />

treatments. This includes the right to refuse care or<br />

treatment and to know what may happen if care or<br />

treatment is not provided;<br />

n<br />

To develop advance directives if the patient has<br />

decision-making capacity and is 18 years <strong>of</strong> age or over,<br />

and to have hospital staff comply with those directives;<br />

n<br />

To access information contained in the patient’s medical<br />

record. This includes the right to know the name <strong>of</strong> the<br />

doctor who is in charge <strong>of</strong> care and treatment and the<br />

names <strong>of</strong> other Medical Center staff providing care;<br />

n<br />

To have a family member or representative and the<br />

patient’s own physician notified promptly <strong>of</strong> the patient’s<br />

admission to the hospital;<br />

n<br />

To receive treatment without discrimination as to race,<br />

color, religion, sex, national origin, disability, sexual<br />

orientation, or source <strong>of</strong> payment;<br />

n<br />

To receive care in a safe setting, free from mental,<br />

physical, sexual and verbal abuse and neglect,<br />

exploitation and harassment and to access protective<br />

and advocacy services, including notifying government<br />

agencies <strong>of</strong> neglect or abuse;<br />

n<br />

To personal privacy while in the hospital and to have<br />

all information about the illness or condition and care<br />

treated as confidential as consistent with law;<br />

n<br />

To be free from restraints <strong>of</strong> any form that are not<br />

medically indicated;<br />

n<br />

To receive appropriate assessment and management<br />

<strong>of</strong> pain;<br />

10


n<br />

To agree or refuse to take part in or withdraw from<br />

any research study or experiment related to care<br />

or treatment;<br />

n<br />

To review bills and have questions about bills answered;<br />

n<br />

To know about a practitioner’s financial relationships<br />

with drug, medical product and medical device<br />

companies. <strong>Patient</strong>s and/or their agents may ask their<br />

practitioners about such relationships, and may also<br />

find information regarding practitioners’ relationships on<br />

the <strong>University</strong> <strong>of</strong> <strong>Virginia</strong> Health System website under<br />

uvahealth.com;<br />

n<br />

To discuss concerns or file a complaint regarding your<br />

experience as a patient <strong>of</strong> UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />

with our Director <strong>of</strong> Clinical Operations, Director <strong>of</strong> Quality<br />

Improvement or our Director <strong>of</strong> Case Management, and<br />

to receive a response in a timely manner. There is also<br />

a right to an internal appeal to any such response and a<br />

right to file a complaint with an external agency.<br />

Your Responsibilities as Our <strong>Patient</strong><br />

In order to receive optimal care, you and your legal<br />

guardian are responsible for:<br />

n<br />

Providing accurate and complete information about your<br />

present illness and past medical history and wishes for<br />

your care and reporting perceived risks in your care and<br />

unexpected changes in your condition;<br />

n<br />

Asking questions when you do not understand what you<br />

have been told about your care, and when you<br />

do not understand what you are expected to do;<br />

n<br />

Following the care, service or treatment plan that has<br />

been developed for you and reporting any concern<br />

you may have about your ability to follow and comply<br />

with any proposed plan or course <strong>of</strong> treatment;<br />

n<br />

Accepting the consequences if you do not follow your<br />

care, service or treatment plan;<br />

n<br />

Following the hospital’’s policies concerning patient<br />

care and conduct which forbid:<br />

n<br />

Engaging in verbal or physical abuse<br />

n<br />

Using alcohol or illegal substances<br />

n<br />

Carrying weapons <strong>of</strong> any kind<br />

n<br />

Being courteous and showing respect for the rights<br />

<strong>of</strong> others and being considerate <strong>of</strong> the Health System’s<br />

personnel and property;<br />

n<br />

Promptly meeting any financial obligation.<br />

Concerns, Complaints, Compliments<br />

Concerns, Complaints, Compliments<br />

At UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>, we strive to<br />

create an atmosphere <strong>of</strong> openness and hospitality.<br />

Your concerns, complaints and compliments are very<br />

important to us. If you have unresolved concerns or<br />

complaints, or you would like to give a testimonial<br />

about a positive experience, our leadership team<br />

wants to hear from you. Please call our main hospital<br />

number at 434.243.4394 and ask to speak with a<br />

director. In addition, you always have the right to<br />

contact the agencies listed below to register a complaint<br />

if you are not completely satisfied with our response.<br />

Voicing concerns or complaints will not result in<br />

negative effects in your care so you are encouraged<br />

to speak freely — we want to hear from you.<br />

Office <strong>of</strong> Licensure and Certification<br />

<strong>Virginia</strong> Department <strong>of</strong> Health<br />

9960 Mayland Drive, Suite 401<br />

Richmond, VA, 23233<br />

800.955.1819/804.367.2106<br />

Fax: 804.527.4503<br />

Email: complaints@vdh.virginia.gov<br />

vdh.state.va.us/OLC<br />

Office <strong>of</strong> Quality Monitoring,<br />

The Joint Commission<br />

One Renaissance Boulevard<br />

Oakbrook Terrace, IL 60181<br />

800.994.6610<br />

Fax: 630.792.5636<br />

Email: complaints@jointcommision.org<br />

jointcommision.org<br />

Office for Civil Rights, DHHS<br />

150 S. Independence Mall West, Suite 372<br />

Philadelphia, PA 19106-3499<br />

215.861.4440/ 215.861.4441<br />

Fax: 215.861.4431<br />

2 11


UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> TV Channel Guide<br />

3 WVAW 16 (ABC)<br />

4 WVIR 29 (NBC)<br />

5 QVC<br />

6 WCAV 19 (CBS)<br />

7 WHTJ 41 (PBS)<br />

8 The Comcast Network<br />

9 WAHU 27 (Fox)<br />

10 Cville Go. Access<br />

11 WVPT 51 (PBS)<br />

12 WVIR 29 (CW)<br />

13 Public Access<br />

14 Local Education<br />

15 C-SPAN<br />

16 Home Shopping Network<br />

17 G4<br />

18 WTTG 5 (Fox DC)<br />

19 Jewelry TV<br />

20 TBN<br />

21 CNBC<br />

22 MASN2<br />

23 MSNBC<br />

24 CNN<br />

25 CNN Headline News<br />

26 Fox News<br />

27 The Weather Channel<br />

28 USA<br />

29 A&E<br />

30 Lifetime<br />

31 E!<br />

32 BET<br />

33 TV Guide Network<br />

34 TBS<br />

35 ESPN<br />

36 ESPN2<br />

37 Comcast SportsNet<br />

38 The Golf Channel<br />

39 Viendo Movies<br />

40 TNT<br />

41 Spike TV<br />

42 ABC Family<br />

43 Disney Channel<br />

44 Cartoon Network<br />

45 Nickelodeon<br />

46 Animal Planet<br />

47 Discovery Channel<br />

48 TLC<br />

49 Hallmark Channel<br />

50 Travel Channel<br />

51 TV Land<br />

52 Bravo<br />

53 Oxygen<br />

54 AMC<br />

55 Hallmark<br />

56 Syfy<br />

57 FX<br />

58 truTV<br />

59 History Channel<br />

60 Food Network<br />

61 HGTV<br />

62 Comedy Central<br />

63 MTV<br />

64 VH1w<br />

66 BIO<br />

67 History 2<br />

68 Style<br />

69 LMN<br />

70 MASN<br />

Pain Management Scale<br />

Pain Rating<br />

Activity Rating<br />

10 Worst possible pain<br />

9 Unable to do any activities because <strong>of</strong> pain<br />

8 Extreme pain<br />

7 Unable to do most activities<br />

6 Severe pain<br />

5 Unable to do some activities because <strong>of</strong> pain<br />

4 Moderate pain<br />

3 Can do most activities with rest periods<br />

2 Mild pain<br />

1 Pain is present but does not limit activity<br />

0 No pain — able to do all activities<br />

Faces: Modified from Wong DL: Whaley & Wong’s essentials <strong>of</strong> pediatric nursing, ed<br />

5, pp1215-16, St. Louis, 1997, Mosby. Used with permission.<br />

Thermometer: Used with permission from Keela Herr, <strong>University</strong> <strong>of</strong> Iowa.<br />

12


Helpful Phone Numbers<br />

<strong>Hospital</strong> Operator “0” inside the hospital or 434.982.1100<br />

<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> front desk 434.243.4394<br />

Billing Questions<br />

For hospital charges 434.924.5377 or 800.523.4398<br />

For physician charges 434.980.6110 or 800.868.6600<br />

Blood Donations 434.977.8956 or 434.243.2999<br />

Organ Procurement (LifeNet) 434.296.7910 or 800.847.7831<br />

Health Sciences Library 434.924.1607<br />

Compliance and Privacy Office (for HIPAA privacy concerns) 434.924.2938<br />

<strong>Care</strong> Management (for ethical concerns and questions) 434.924.9126<br />

<strong>University</strong> <strong>Hospital</strong> Gift Shop 434.924.2447<br />

Lodging Arrangements 434.924.1299<br />

Medical Records (voicemail - leave a message) 434.924.5136<br />

<strong>Patient</strong> Information (for patient room and phone number) 434.982.1100<br />

Ethics Consult Service Dial “0”<br />

Ask for pager number 1712<br />

Chaplaincy Services (for spiritual needs) Dial “0”<br />

<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />

2965 Ivy Road | Charlottesville, VA 22903<br />

uvahealth.com

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